View Information Collection (IC)

View Information Collection (IC)

Notice of Issuance of Insurance Policy
No Modified
20 CFR 726.208 -.213 20 CFR 726.206

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CM-921 Notice of Issuance of Insurance Policy CM-921 Word Version new.pdf Yes No Printable Only

Income Security Survivor Compensation


51 0
Private Sector Businesses or other for-profits
   99 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,500 0 0 -300 0 3,800
Annual IC Time Burden (Hours) 8 0 -575 -50 0 633
Annual IC Cost Burden (Dollars) 27 0 -2,104 156 0 1,975

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.